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儿童股骨头坏死晚期病变的手术治疗 被引量:14

Operative treatment of late cases of Legg-Calve'-Perthes diseases in children
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摘要 本文报告了42例儿童股骨头坏死晚期病变,采用关节囊开窗,滑膜切除减压,Chiari截骨术治疗,增加了髋臼对股骨头的包容,尽量恢复头臼同心圆的解剖关系。经5年以上时间的随访,根据疼痛、破行、关节功能和X线的表现进行综合评价,近期疗效优良率达81%。从而提示在晚期病变的治疗中,增加髋臼对股骨头包容覆盖,增大股骨头负重面积,改变负重力线是必要的措施。 AbstractThe results of treatment of 42 late cases of Legg-Calve'-Perthes disease were reviewed.The procedures used in the treatment were open window of the joint cap-sule and synovectomy to reduce the intra-articular pres-sure and to improve the blood supply of the femoral head,and Chiari pelvic osteotomy for increasing the acetabular coveraged of the femoral head.The average follow-up pe-riod was over 5 years. The results were evalated accord-ing to pain,limping ,hip function and the findings on the fadiographs.Excellent and good results were seen in 81% of the cases. This suggests that, for the treatment of late lesion of the Legg-Calve'Perthes disease,it is necessaryto increase the acetabular coverage of the femoral head,toenlarge the weight-bearing area of the femoral head and to realign the force line of weight-bearing,and to recoveras fas possible the sphericity of the femoral head.
机构地区 天津医院骨儿科
出处 《中华骨科杂志》 CAS CSCD 北大核心 1994年第8期462-465,共4页 Chinese Journal of Orthopaedics
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参考文献3

  • 1过邦辅,坎贝尔骨科手术大全(第7版),1991年
  • 2王桂生,骨科手术学,1982年
  • 3邱建德,中华外科杂志,1981年,14卷,1页

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